hydroxyurea 100 MG/ML Oral Solution [Xromi]
hydroxyurea
RxCUI: 2696079
What the CMS Formulary Data Shows for hydroxyurea 100 MG/ML Oral Solution [Xromi]
Per the CMS 2026 Part D formulary file, hydroxyurea 100 MG/ML Oral Solution [Xromi] (RxNorm concept RXCUI 2696079, generic name hydroxyurea) appears on 16 distinct formulary files spanning 142 Medicare Part D plan offerings - 2.8% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 3.7.
Real-world access to hydroxyurea 100 MG/ML Oral Solution [Xromi] depends on utilization management as much as tier placement: 25% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 102,368 Part D beneficiaries filled hydroxyurea 100 MG/ML Oral Solution [Xromi] in 2023, with total plan-and-beneficiary spending of $17,214,624 and an average per-beneficiary annual cost of $168.16. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry hydroxyurea 100 MG/ML Oral Solution [Xromi] today.
Coverage Details
- Formularies covering
- 16
- Plans covering
- 142
- Coverage rate
- 2.8%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 4, Non-Preferred
Restrictions
- Prior authorization required
- 25% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 102,368
- Total spending
- $17,214,624
- Avg per beneficiary
- $168.16
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering hydroxyurea 100 MG/ML Oral Solution [Xromi]
100 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is hydroxyurea 100 MG/ML Oral Solution [Xromi] covered by Medicare Part D?
Yes, hydroxyurea 100 MG/ML Oral Solution [Xromi] is covered by 142 Medicare Part D plans (2.8% of all Part D formularies).
What tier is hydroxyurea 100 MG/ML Oral Solution [Xromi] on Medicare Part D plans?
hydroxyurea 100 MG/ML Oral Solution [Xromi] averages Tier 3.7 across Part D plans, ranging from Tier 1 to Tier 5.
Does hydroxyurea 100 MG/ML Oral Solution [Xromi] require prior authorization?
25% of Part D formularies require prior authorization for hydroxyurea 100 MG/ML Oral Solution [Xromi]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on hydroxyurea 100 MG/ML Oral Solution [Xromi]?
In 2023, total Medicare Part D spending on hydroxyurea 100 MG/ML Oral Solution [Xromi] was $17,214,624, covering 102,368 beneficiaries. The average spend per beneficiary was $168.16.
Read our methodology - how this data is sourced, computed, and verified.